Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.
Read our methodology →🤖 ML Fraud Detection Score: 86%
Machine learning model identifies prescribing patterns consistent with confirmed fraud cases. This is a statistical indicator, not an accusation.
Risk Flags
Risk indicators are statistical patterns, not allegations. Learn more
6,167
Total Claims
$676K
Drug Cost
399
Beneficiaries
$1,694
Cost/Patient
Risk Score Breakdown 41/100
Score components are additive. Read full methodology
Peer Comparison vs. 109,535 Physician Assistant providers
+528%
Opioid rate vs peers
57.7% vs 9.2% avg
+136%
Cost per patient vs peers
$1,694 vs $719 avg
+62%
Brand preference vs peers
10.8% vs 6.7% avg
⚠️ Opioid + Benzodiazepine Co-Prescriber
This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.
Opioid Prescribing
57.7%
Opioid Rate
3,557
Opioid Claims
$458K
Opioid Cost
39.6%
Long-Acting Rate
This provider's opioid prescribing rate of 57.7% is above the 20% threshold that CMS considers elevated.
Brand vs Generic
Brand: 663 claims · $495K
Generic: 5,504 claims · $182K
Top Prescribed Drugs
| Drug (Generic) | Claims | Cost |
|---|---|---|
| Oxycodone Myristate | 208 | $121K |
| Tapentadol Hcl | 46 | $65K |
| Rimegepant Sulfate | 33 | $60K |
| Buprenorphine Hcl | 67 | $54K |
| Oxycodone Hcl | 67 | $32K |
| Tapentadol Hcl | 39 | $31K |
| Ubrogepant | 23 | $30K |
| Hydrocodone/Acetaminophen | 1,047 | $28K |
| Buprenorphine | 79 | $25K |
| Fentanyl | 140 | $20K |
| Hydrocodone Bitartrate | 34 | $17K |
| Pregabalin | 324 | $17K |
| Morphine Sulfate | 537 | $16K |
| Naloxegol Oxalate | 32 | $15K |
| Atogepant | 11 | $13K |
Prescribing Profile
42
Unique Drugs
41.0
Anomaly Score
Patient Profile
67
Avg Age
60%
Female
1.95
Avg Risk Score
Explore More
Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations.Methodology · About